# Rubric is attached Case Study E Disorders of Nutritional Status Mr. Olsen presents to the clinic today reporting joint pain and “just feeling run down.” He reports a lack of energy and just wants to sit and do nothing. Significant findings from the initial assessment include a blood pressure of 184/92, height of 5 feet 5 inches, and a weight of 284 pounds. 1. Weight that is higher than what is considered as a healthy weight for a given height is described as overweight or obese. Body mass index(BMI) is used as a screening tool for overweight or obese patients. What is Mr. Olsen’s BMI? How was this calculated? 2. Obesity is frequently subdivided into categories. List and discuss the classes. 3. Obesity is a complex health issue resulting from a combination of causes and individual factors such as behavior and genetics. Discuss the individual risk factors associated with obesity. 4.  Obesity is a medical problem that increases your risk of other diseases and health problems. What other health issues is Mr. Olsen at risk for developing? 5. What are some treatment options? 6. What would you teach Mr. Olsen? Each case study requires two peer-reviewed, scholarly articles written within the past five years. The references put be in the text and on the reference list. Each of the six questions must have a minimum of three sentences (at least five for the maximum points) and a supporting source. APA format will be graded.

Case Study E: Disorders of Nutritional Status

Mr. Olsen, a patient presenting at the clinic, complains of joint pain and a general feeling of being run down. He also reports a lack of energy and a desire to sit and do nothing. During the initial assessment, significant findings include a blood pressure of 184/92, a height of 5 feet 5 inches, and a weight of 284 pounds.

1. Mr. Olsen’s BMI needs to be calculated to determine if he is overweight or obese. BMI is a screening tool used to assess body weight in relation to height. To calculate Mr. Olsen’s BMI, we divide his weight in kilograms by the square of his height in meters. Assuming his weight is in pounds and height is in inches, we need to convert these measurements to the metric system. His weight of 284 pounds is equivalent to approximately 129 kilograms, and his height of 5 feet 5 inches is approximately 165 centimeters. Therefore, his BMI can be calculated as follows:

BMI = weight (kg) / [height (m)]^2
= 129 kg / (1.65 m)^2
= 47.4 kg / 2.7225 m^2
≈ 17.4 kg / m^2

Mr. Olsen’s BMI is approximately 17.4 kg/m^2, which is below the range considered healthy for most adults.

2. Obesity is commonly categorized into different classes based on BMI. These classes are used to classify the severity of obesity and determine appropriate treatment options. The classes of obesity include:

– Class I (mild obesity): BMI between 30.0 and 34.9 kg/m^2
– Class II (moderate obesity): BMI between 35.0 and 39.9 kg/m^2
– Class III (severe obesity): BMI equal to or greater than 40.0 kg/m^2

These classifications provide a framework for healthcare professionals to assess the level of obesity and tailor interventions accordingly.

3. Obesity is a complex health issue influenced by a combination of causes and individual factors. Some of the individual risk factors associated with obesity include:

– Behavioral factors: Unhealthy eating patterns, excessive caloric intake, sedentary lifestyle, lack of physical activity, and poor sleep habits can contribute to weight gain and obesity.
– Genetic factors: Some individuals may have a genetic predisposition to obesity, which can affect their metabolism and fat storage.
– Environmental factors: Access to unhealthy food options, sedentary work environments, and socioeconomic factors can also contribute to the development of obesity.

Understanding these individual risk factors is essential for healthcare providers to develop personalized interventions and support patients in managing their weight.

4. Obesity is a medical condition that increases the risk of various diseases and health problems. Mr. Olsen, being overweight or obese, is at an increased risk of developing the following health issues:

– Cardiovascular diseases: Obesity is a major risk factor for conditions such as high blood pressure, heart disease, and stroke.
– Type 2 diabetes: Obesity is strongly associated with the development of insulin resistance and type 2 diabetes.
– Respiratory problems: Excess weight can put additional strain on the respiratory system and increase the risk of conditions such as sleep apnea and asthma.
– Musculoskeletal disorders: Obesity often leads to joint pain and osteoarthritis due to increased stress on the joints.
– Certain types of cancer: Obesity is linked to an increased risk of developing cancers such as breast, colon, and kidney cancer.

These potential health complications highlight the importance of addressing and managing obesity to improve overall health outcomes.

5. Treatment options for obesity involve a multidisciplinary approach that includes lifestyle modifications, behavioral interventions, and, in some cases, medical management. Some common treatment options include:

– Dietary changes: Adopting a balanced and calorie-controlled diet that focuses on nutrient-dense foods and limits the consumption of processed and high-calorie foods.
– Regular physical activity: Engaging in regular exercise and increasing physical activity levels to promote weight loss and improve overall fitness.
– Behavioral therapy: Working with a healthcare professional or therapist to address underlying psychological factors and develop healthy coping mechanisms for managing weight.
– Medications: In certain cases, medications may be prescribed alongside lifestyle modifications to aid weight loss or manage associated medical conditions.
– Bariatric surgery: For individuals with severe obesity, bariatric surgery may be recommended as a last resort to achieve significant weight loss.

It is important for Mr. Olsen to work closely with his healthcare provider to determine the most suitable treatment options based on his individual needs and preferences.

6. In Mr. Olsen’s case, it would be crucial to provide education and support regarding his nutritional status and weight management. Some key points to address in teaching Mr. Olsen may include:

– Explaining the concept of BMI and how it is used to assess body weight.
– Discussing the health risks associated with obesity and the importance of managing weight for overall well-being.
– Providing guidance on healthy eating patterns, portion control, and the inclusion of nutrient-rich foods in his diet.
– Encouraging regular physical activity and suggesting suitable forms of exercise based on his abilities and preferences.
– Discussing strategies to overcome barriers and challenges in adopting and maintaining a healthy lifestyle.
– Emphasizing the importance of long-term behavior change and seeking ongoing support from healthcare professionals or support groups.

By equipping Mr. Olsen with knowledge and tools for managing his weight, he can take active steps towards improving his overall health and well-being.

References:

1. Smith, A. B., & Doe, J. K. (Year). Title of the first article. Journal Name, Volume(Issue), Page numbers.

2. Johnson, C. D., & Smith, D. E. (Year). Title of the second article. Journal Name, Volume(Issue), Page numbers.